Emergency Endoscopic Decompression With Colonic Stenting in Acute Malignant Colonic Obstruction

We report a case of emergency endoscopic decompression for acute left-sided malignant colonic obstruction in a 63-year-old patient. A rectosigmoid colon tumor was detected by unenhanced radiography, multislice computed tomography, and barium enema. We performed an emergency colonoscopy, which confirmed the rectosigmoid colon tumor, and successful endoscopic decompression with the self-expandable metal stent placement. Seven days later, the patient underwent radical surgery in the second stage: open resection of the rectosigmoid colon with end-to-end decendorectoanastomosis. On day 7 after the second surgery, the patient was discharged from the clinic in a satisfactory condition.